We all recognize the importance of patient engagement as it relates to overall health and better outcomes in our patient populations. With the growing recognition of the importance of value-based approaches to patient engagement in healthcare, one area where this approach is particularly crucial is in the care coordination for chronic disease patients. Care coordination programs seek to actively engage patients and provide compassionate support, so patients are more likely to adhere to provider’s orders in between office visits. The goal is to support a resilient population of older adults as they look to successfully age in place or with the support of families and caregivers while managing chronic diseases such as diabetes, heart disease, COPD and others that require ongoing management and support. Effective care coordination is essential to ensuring that these patients receive the right care at the right time.

The Value-Based Approach

Value-based approaches to patient engagement in the context of chronic disease management focus on improving outcomes while reducing costs. Engaging patients in their own care, providing them with the tools and resources they need to self-manage their conditions, and coordinating care across different providers and settings creates more positive outcomes. Data and technology play an important role in patient engagement, helping to facilitate communication and information sharing between patients and providers. Telehealth platforms, remote monitoring devices, and patient portals can all help to streamline care coordination for chronic disease patients, making it easier for them to access care and stay connected with their healthcare team. However, Patient engagement becomes even more valuable when human interaction in the form of care coordination is introduced in addition to these technology platforms. The Institute for Healthcare Improvement found that patients who received care from a combination of licensed medical professionals and technology platforms had a 40% lower readmission rate compared to those who only used technology for their care. By prioritizing value over volume, healthcare organizations can deliver more personalized and effective care to chronic disease patients.

Another important component of value-based patient engagement is the integration of behavioral health and social determinants of health into care plans for chronic disease patients. Addressing mental health issues, substance abuse, housing instability, food insecurity, and other social factors can have a significant impact on patient outcomes and overall well-being. For example, in a study published in The New England Journal of Medicine, it was found that the use of value-based care principles in chronic care management for Medicare patients led to a 15% decrease in emergency room visits, a 25% increase in medication adherence, and a 30% improvement in overall health outcomes.

The Key Takeaway

By taking a value-based approach to patient engagement in the context of chronic disease management, healthcare organizations can not only improve the quality of care for these patients but also reduce unnecessary hospitalizations and emergency room visits, leading to cost savings for both patients and providers. Ultimately, the goal is to empower chronic disease patients to take control of their health and lead healthier, more fulfilling lives through effective care coordination and engagement strategies.